WTC environmental inspection form, 53 Park Place, undated

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: ( Residential 0 Commercial Name of Building: Lot: Mix Use 0 Other # of Stories: iç AKA's: - çT Building Owner/Management: Telephone Number. ( ) Name: FAX: Address: On Site Contact: Name: ' ' Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual inspection Results: Facade: Inspected Debris North ❑ N/A D Yes ❑ No ❑ No Visible/Fine Layer E 11/2 to 1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Yto1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to l" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to1" ❑>1" Facade Description: LI...'t< 4

Roof

Debris: ❑ No Visible /Fine bayer ❑ % to 1" •1 = ❑ > 1" 1 Description: i ' i'Lz i' Pc.~ S3 t a4< IL

Setbacks N/A Q Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No VSible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments Nt

Date: c t 1/2002 Inspection Team: Name: + - Agency: Name: r.+,'N'2-i K Agency:

NYC-WTC 000115804